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CLINICAL POLICY DRUG COVERAGE GUIDELINES Policy Number: PHARMACY 098.139 T0 Effective Date: February 3, 2016, Table of Contents Page CONDITIONS OF COVERAGE................................... DESCRIPTION
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What is drug coverage guidelines?
Drug coverage guidelines are rules and regulations set by insurance companies or healthcare providers that determine which medications are covered and how they can be obtained.
Who is required to file drug coverage guidelines?
Insurance companies and healthcare providers are required to file drug coverage guidelines.
How to fill out drug coverage guidelines?
Drug coverage guidelines can be filled out by providing information on the specific medications covered, any restrictions or limitations, and the process for obtaining them.
What is the purpose of drug coverage guidelines?
The purpose of drug coverage guidelines is to ensure that patients have access to necessary medications while also controlling costs for insurance companies and healthcare providers.
What information must be reported on drug coverage guidelines?
Drug coverage guidelines must include a list of covered medications, any restrictions or limitations, the process for obtaining medications, and any cost-sharing requirements.
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